Hypospadias Surgery in Bangkok, Thailand

Hypospadias is a congenital condition where the opening of the urethra (the tube that carries urine from the bladder to outside the body) is located on the underside of the penis rather than at the tip. This condition occurs during fetal development when the urethral folds fail to close completely. As a result, the opening of the urethra may be located anywhere along the underside of the penis, from the tip to the base, rather than at the usual location at the tip of the penis.

Picture 1 shows differentiation of Hypospadias and Epispadias

Here are some details about hypospadias:

• Severity:

Hypospadias can vary in severity, ranging from mild cases where the urethral opening is near the tip of the penis to more severe cases where the opening is located closer to the base of the penis or even on the scrotum.

• Symptoms:

The primary symptom of hypospadias is the abnormal placement of the urethral opening on the underside of the penis. Other symptoms may include curvature of the penis (chordee), spraying of urine during urination, and difficulty directing the stream of urine.

• Diagnosis:

Hypospadias is typically diagnosed shortly after birth during a physical examination by a healthcare provider. Imaging tests such as ultrasound may be used to assess the anatomy of the urinary tract and determine the extent of the condition.

• Treatment:

Treatment for hypospadias usually involves surgical repair to reposition the urethral opening to the tip of the penis and correct any associated curvature. The timing of surgery depends on factors such as the severity of the condition and the presence of other genital abnormalities. Surgery is typically performed during infancy or early childhood to optimize outcomes and minimize the risk of complications.

• Complications:

Complications of hypospadias repair surgery may include bleeding, infection, fistula formation (abnormal connections between the urethra and surrounding tissue), urethral strictures (narrowing of the urethra), and cosmetic or functional concerns. Close follow-up with a healthcare provider is important to monitor for any complications and ensure optimal outcomes.

Kamol Hospital is pleased to provide hypospadias, it is a treatable condition, and most individuals can achieve satisfactory outcomes with timely surgical intervention. Parents of children with hypospadias need to consult with pediatric urologists or other specialists experienced in the management of this condition to discuss treatment options and develop a personalized care plan.